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ST. C R O IX C U.IVTY ST CROIX COUNTY
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ON SITE VERIFICATION
FORM
Propert 0vner Property Lo.abon
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l~ ~uKe fAMn~ ~nV~eU ~ Gervt. Lot /~w , L t 'a s C J T N O~ R I / E f cx ~ J
MlcI1 I ~/)l Y Z O
Property Owner's Mailing Address Lot # Block 4
R/5 Ib(o"` 57rt*e7- - p G 1 p = 0 211- 1603_5P_ /60
~
city state dip Code F icrte Number ❑ City El Village Tcrern Nearest Road
hc• ~3 6+1I 502
❑ t•owConstruction Use:❑ Residential !tlumber of bedrooms Code derived design flayrate___. -----GPD
❑ Replacement ❑ Public orcommercial -Describe:
Parent material Flood Plain elevation if applicable ft.
Genelalcomments 'SID 0'P0,14) GO,JVA 9%04 Ve.f
and recommendations: ✓ s-
Qj~
~ k SU nnifflil bo~,~ f
Baing# Boring r ~n move, SYCH^_
IIIL-91f: II ❑ pit Ground surface elev. ft. Depth to limiting factor in.
Sal licaticti Rata
Horizon Ctepth Dominant Color Reaox Description Texture Structure Consistence Boundary Rods GPD.4
in. Munsefl 4u. Sz. Cont. Cola Gr. Sz. Sh. 'Efi#1 'Eff#2
1 _10 2-o"O • &
2 10-211111'
0 -Z a
Z ; c
t! art
01 i be n o 6)'11 U q(0 o
v 19ten all r
i ~r n eov I bonA49 are , 'A (061 ~!f lf R tute to 0 6 P tfA
❑ Boring # ❑ Boring _ lb SC*LdLA4L 0A SI hc Ve f~cafic~^
❑ Pit Ground surface 69v. Depth to limiting far_tor____ in.
Sal is ,licaticn Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Rods GPUft
in. flunsell Qu. Sz. Cont. Color Gr. Sz. Sh. Efr#1 'Eff#2
71 5-386-4&,(_) ST. CROIX COUNTY GOVERNMENT CENTER 71 5-386-4686 FAX
CDD@CO.SAINT-CROIX.WI.US 1 101 CARMICHAEL ROAD, HUDSON, WI 54016 www.sccwi.us/cdd
s:\cdd\zonshare\sanitary & soils\soil reports & on-sites Comm 85\on-site forms & letters\county soil on-site
form.doc
n Page 1 of 3
Wisoonsir* (department of Industry, SOIL AND SITE EVALUATION REPORT
borand Human Balaton
Divwon of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
' COUNTY
,,,r.~•' oix
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but TPA-S
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or A~RfJ~l+' ' _ rho y _,W9
dimensioned, north arrow, and location and distance to nearest road. 1 QQ
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION i REVIE. ~_•.P ATE
PROPERTY OWNER: PROPERTYLOCATION
Bruce Mo].Y ^ ""kox, GOVT. LOT NW t/ 1/4,S5 -T 2~`` (or) W
fd
PROPERTY OWNER':S MAILING ADDRESS OT # BLOCK # S 8 ME,
1651 60th. Ave. w na
$T R
CITY, STATE ZIP CODE PHONE NUMBER I ❑VILLAGE [3f0 R,
Hammond WI. 54015 (715 796-5491,c+- Pleasant VAlle Ave.
New Construction Use [ x] Residential / Number of bedrooms 3 [ ] Addition to existing building
j ] Replacement [ ] Public or commercial describe
Code derived daily flow 450 gpd Recommended design loading rate • 2 bed, gpd/ft2 .3 trench, gpd/ft2
Absorption area required _ np bed, ft2 375 trench, ft2 Maximum design loading rate • 2 bed, gpd/0-3 trench, gpdd/ft2
Recommended infiltration surface elevation(s) 102.3 it (as referred to site plan benchmark)
Additional design/ site considerations ssutem el. based on contour line of el. 101.3'
Parent material pitted glacial drift Flood plain elevation, if applicable na ft
AT GRADE SYSTEM IN FILL HOLDING TANK
I - ~
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE
U =Unsuitable for s stem ❑ S O U IBS ❑ U ❑ S ®U ❑ S ®U ❑ S (OU ❑ S ® U
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Texture Structure Consistence Bourxiary Roots GPD/ft
Bo ng Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tre &
.51 .6
1 0-13 10 r3 3 none sil 2msbk mfr cs
2 13-23 10 r4 4 none sicl 2msbk mfr .4 .,5
Ground 3 23-25 7.5 r4 4 none scl lfsbk mfr
elev.
99.8 it. 4 25-40 7.5 r4/4 none sicl m na na na n n
Depth to
limiting
factor
35"
Remarks:
Boring #
I 1 0-10 10 r3 3 none si 2msbk Mfr .5i .6
2 2 10-18 10 r4 4 none sicl lfsbk mfr CrW 1
3 18-24 10 r4 4 none scl 2m r mfr CIW if .4 .5
ound
elev. 4 24-30 10 r4 4 none scl 2msbk mvfr .5
99.8 it.
Depth to 5 130-50 10 r7 3 sandstone ReAduum
limiting
factor
30,,
Remarks:
CST Name: Please Print Phone:
Ga L. STeel 715-246-6200
Address: 54 200th Av New Richmond, WI. 54017 m02298
Date: CST Number:
Signature: 6-4-96
i
PROPERTY OWNER- Bruce Moll SOIL DESCRIPTION REPORT Pagers ofd
PARCEL I.D. # Pending
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Botrrl3ry Roots GPD/ft in. Munsell Du. Sz. Cont Color Gr. Sz. Sh.
Bed Trench
3 1 -
2 9-21 10 r4 4 none sil 2msbk mfr if .5 .6
Ground 3 21-29 10 r4 4 none sicl lfsbk mfr na .2 .3
elev.
101.7 ft. 4 29-40 7.5 r4/4 none sicl m na na na n n
Depth to
limiting
factor
29"
Remarks:
Boring #
•n.Q4ii~iGround
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
p M
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(R.05/92)
STEEL'S SOIL SERVICE
Gary L. Steel 1554 200th Ave.
CSTM2298 Bruce Moil
Nw4NE4 S5-T28N-R17W New Richmond, WI 54017
MPRSW 3254 town o Pleasant Valley (715) 246-6200
loCSM
Lbr 2 , cs c(2
1"=40'
estop of 1k" pvc pipe C el. 100'
alt bm= top of steel post el. 103.84'
-44
-v C
5 fl-3 'FAN ~ ~ )
~ ci C t /
y j
47 ~S
Fri
l
f
Y v
Gary L. Steel
6-4-96
Parcel 024-1003-50-100 03/03/2008 04:10 PM
PAGE 1 OF 1
Alt. Parcel 05.28.17.18C 024 - TOWN OF PLEASANT VALLEY
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s)' 0 = Current Owner, C = Current Co-owner
0 - BUCSKO, JOHN & DANETTE
JOHN & DANETTE BUCSKO
6229 BOXMAN PATH
INVER GROVE HGTS MN 55076
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 1667 60TH AVE
SC 2422 ST CROIX CENTRAL
SP 1700 WITC
Legal Description: Acres: 5.000 Plat: 3420-CSM 12-3420
SEC 5 T28N R1 7W NW NE BEING LOT 2 CSM Block/Condo Bldg: LOT 2
12/3420
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
05-28N-17W
Notes: Parcel History:
Date Doc # Vol/Page Type
10/15/1998 589058 1365/538 WD
07/23/1997 960/226
07/23/1997 4521483
2008 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 06/22/2007
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 5.000 91,500 0 91,500 NO
Totals for 2008:
General Property 5.000 91,500 0 91,500
Woodland 0.000 0 0
Totals for 2007:
General Property 5.000 91,500 0 91,500
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00